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现有心肺复苏指南认为心脏骤停患者可通过统一的胸外按压深度和血管加压药物的标准化间隔给药进行治疗。这种非个性化的方法没有把病人的个体反应与复苏过程相结合。在此前报道的心室颤动猪模型的低氧和常氧治疗研究中,血流动力学导向复苏与现有指南相比,可改善短期生存率。熟练的院内救援人员应接受培训,将复苏措施与病人的生理状况相结合。这种策略将是院内心脏骤停患者治疗模式的一个重大转变。
Current guidelines for cardiopulmonary resuscitation argue that patients with cardiac arrest can be treated with a standardized depth of chest compression and standardized interval vasopressor medications. This non-personalized approach does not combine the patient’s individual response with the recovery process. In a previously reported hypoxic and normobaric study of ventricular fibrillation in pigs, hemodynamic-directed resuscitation improved short-term survival compared to current guidelines. Skilled in-hospital rescue workers should be trained to combine recovery measures with the patient’s physical condition. This strategy will be a major shift in the pattern of treatment for patients with cardiac arrest in the hospital.